10D1097799 CLIA NUMBER - GAINESVILLE PEDIATRIC MEDICINE PA

Laboratory Demographics

CLIA Number: 10D1097799

Facility Name: GAINESVILLE PEDIATRIC MEDICINE PA

Facility Address:
1131 NW 64 TERRACE STE B
GAINESVILLE, FL
ZIP 32605
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Facility Phone Number: (352) 332-9940

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1447495338

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	10D1097799
LAB Type	PHYSICIAN OFFICE
Facility Name	GAINESVILLE PEDIATRIC MEDICINE PA
Street	1131 NW 64 TERRACE STE B
City	GAINESVILLE
State	FL
ZIP	32605
Phone	(352) 332-9940

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This page was last updated on: 5/11/2023